超声引导下前列腺穿刺临床实践讲义.pptVIP

重复穿刺的范围 1. 至少要包括初次活检的范围，还应包括移行带，外周带中线区及前列腺前部。 2.在移行带位于前中线附近远端的2/3区前列腺癌好发，因此移行带活检应集中在此区域 目录 超声引导下前列腺穿刺现状 我科经直肠超声引导下前列腺穿刺临床实践 一些新知识 新的标志物（Prostate Cancer Antigen 3） One of these new markers is PCA3, a non-coding mRNA that is highly over-expressed (median 66-fold) in 95% of malignant prostate tissue compared with benign and normal prostate tissue [ 15,16 ] .The PROGENSA TM PCA3 Assay measures concentrations in urine samples taken after a DRE. The PCA3 Score has been shown to be independent of prostate volume, PSA level, number of previous biopsies and age [ 18,20,21 ] . 15 Hessels D , Klein G